[104-10222-10038.pdf — page 236]
# APPLICATION FOR FEDERAL EMPLOYMENTSTANDARD FORM 57 NOV 1947US CIVIL SERVICE COMMISSION**INSTRUCTIONS:** In order to prevent delay in considering disposition of this application, answer every question on this form clearly and completely. Type or write in print in INK. In applying for a specific United States Civil Service examination, read the examination announcement carefully and follow all directions. If you are applying for a WRITTEN examination, follow the1.  NAME LE EXAMINATION OR KIND of POSITION APPLIED FORAPPLICATION NO.2. OPTION(S) (if mentioned in examination announcement)DO NOT WRITE IN THIS BLOCKFor Use of Civil Service Commission Only3. PLACE OF EMPLOYMENT APPLIED FOR (City and State) 4. DATE OF THIS APPLICATIONMR.TENNENT HARRINGTON BAGLEY11 May 19505.  (A) STREET AND NUMBER OR R. D. NUMBER2005 SOLEDAD AVENUE(B) CITY OR POST OFFICE (including postal zone) AND STATELA JOLLA, CALIFORNIAANNOUNCEMENT6. LEGAL OR VOTING RESIDENCE (State) 6. OFFICE PHONE (A) OFFICE PHONE (B) HOME PHONECALIFORNIA7. DATE OF BIRTH (month; day, year)Nov. 11, 19258. PLACE OF BIRTH (city and State; if born outside U. S. name city and country)Annapolis Md.9.  MALEFEMALE10. (A) HEIGHT WITHOUT SHOES:5 feet 11 inches(B) WEIGHT:165 pounds11. (A) HAVE YOU EVER BEEN EMPLOYED BY THE FEDERAL GOVERNMENT?YES NO(B) IF SO: GIVE LAST GRADE AND DATE OF LAST CHANGE IS GRADEINITIALS AND DATE12. (A) WHAT IS THE LOWEST ENTRANCE SALARY YOU WILL ACCEPT S _ PER YEARYou will not be considered for any position with a lower entrance salary.(B) CHECK IF YOU WILL ACCEPT APPOINTMENT, IF OFFERED:IN WASHINGTON, D. CANYWHERE IN THE UNITED STATESOUTSIDE THE UNITED STATES(C) IF YOU WILL ACCEPT APPOINTMENT IN CERTAIN LOCATIONS ONLY, GIVE ACCEPTABLE LOCATIONS:(D) CHECK IF YOU WILL ACCEPT SHORT-TERM APPOINTMENT IS OFFERED, FOR:1 TO 3 MONTHS3 TO 6 MONTHS6 TO 12 MONTHSNOTE. Acceptance or refusal of a temporary short-term appointment will not affect your opportunity to obtain a probational appointment.(C) IF YOU ARE WILLING TO TRAVEL, SPECIFY:OCCASIONALLYFREQUENTLYCONSTANTLY13. EXPERIENCE: It is important for you to furnish all information requested below in sufficient detail to enable the Civil Service Commission and the appointing officers of agencies to give you full credit for your experience. Use a separate block for each position. Start with your present position and work back, explaining clearly the general tasks which you performed in each position, accounting for all periods of unemployment. Experience gained more than 15 years ago which is not pertinent to the work for which you are applying may be summarized in one of the blocks. If your duties changed materially while working for the same employer, use a separate block to describe each position. You may include any pertinent(1)FROMDec1948-June 1950TO PRESENT TIMEPRESENT POSITIONUNIT TITLE OF YOUR PRESENT POSITIONNone in perod covered.CLASSIFICATION GRADE (if us Federal Service)SALARY OR EARNINGS STARTING, S _ PER PRESENT, S _ PERPLACE OF EMPLOYMENT (city and State)NAME AND ADDRESS OF EMPLOYER (firm, organization or person; if Federal, name department, bureau or establishment, and division)KIND OF BUSINESS ORGANIZATION (o. g. wholesale silk, insurance agency, manufacture of locks, etc.)NUMBER AND KIND OF EMPLOYEES SUPERVISED BY YOUDESCRIPTION OF YOUR WORKREASON FOR DESIRING TO CHANGE EMPLOYMENT(CONTINUED ON NEXT PAGE)